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General NPI Number Information
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NPI Number | 1295381937
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Entity Type | Individual
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Provider Name | LUCY LUONG HUA
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Gender | Female
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Dates
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Enumeration Date | 08/16/2019
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Last Update Date | 01/04/2021
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Provider Practice Location Address
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Address Line | 888 OAK GROVE AVE STE 2
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City | MENLO PARK
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State | CA
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Zip | 94025-4428
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Country | US
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Telephone | 650-817-8680
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Fax | 650-325-1431
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Provider Business Mailing Address
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Address Line | 986 BLAZINGWOOD DR
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City | SUNNYVALE
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State | CA
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Zip | 94089-2632
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Country | US
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Telephone | 408-702-8178
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 104319
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License Number State | CA
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